Organization
COUNTY OF BELTRAMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA KAYE BORGEN MBA (CHS ADMINISTRATOR)
(218) 333-8116
Entity
Organization
Contact information
Practice address
616 AMERICA AVENUE NW SUITE 340, BEMIDJI, MN 56601-3873
(218) 333-8100
(218) 333-8360
Mailing address
616 AMERICA AVENUE NW SUITE 340, BEMIDJI, MN 56601-3873
(218) 333-8140
(218) 333-8360
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306J5BE
BLUE CROSS BLUE SHIELD
MN
05
—
567553700
—
MN
01
—
8231BE
BLUE CROSS BLUE SHIELD
MN
01
—
8300068
MEDICA
MN
Enumeration date
01/30/2006
Last updated
11/03/2017
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